Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Corey J Badgett

Individual provider Anesthesiology Physician · NPI 1710488614

Corey J Badgett is an Anesthesiology in Providence, Rhode Island. Qualified in 2018, 8 years ago. Licensed in Arizona and Rhode Island.

Years since qualifying
8
Licensed in
AZ, RI
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

593 Eddy St
Providence, RI 02903-4923
Phone: (401) 606-4286
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 79680 (AZ)
Anesthesiology Physician Taxonomy 207L00000X · Licence LP05895 (RI)

Record details

NPI number1710488614
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 26, 2018
Last updated in NPPESMay 12, 2026
Certification dateMay 12, 2026
Mailing address593 Eddy St, Providence, RI 02903-4923

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Providence